,Chapter 1: Prescriptive Authority Test
Bank
Multiple Choices
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the
APRN to practice under physician supervision. How would the APRN’s prescriptive authority
be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
ANS: B
The APRN has independent prescriptive authority because the regulating body does not require
that the APRN work under physician supervision. Full prescriptive authority gives the provider
the right to prescribe independently and without limitation. Limited authority places restrictions
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician’s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health
care coverage, and thus the number who have access to health care services. The increase in the
number of patients creates the need for more providers with prescriptive authority. APRNs can fill
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
, a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among providers and higher health care costs.
It would not directly impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
Integrity: Pharmacologic and Parenteral Therapies
, ComprehensionREF: l pp. l 1-2TOP: l Nursing l Process: l Implementation MSC: lNCLEX lClient
lNeeds lCategory: lPhysiologic lIntegrity: lPharmacologic land lParenteral lTherapies
6. A lfamily lnurse lpractitioner lpracticing lin lMaine lis lhired lat la lpractice lacross lstate llines
lin lVirginia. lWhich laspect lof lpractice lmay lchange lfor lthe lAPRN?
a. The lAPRN lwill lhave lless lprescriptive lauthority lin lthe lnew l position.
b. The lAPRN lwill lhave lmore lprescriptive lauthority lin lthe lnew lposition.
c. The lAPRN lwill lhave lequal lprescriptive lauthority lin lthe lnewposition.
d. The lAPRN’s lauthority lwill ldepend lon lfederalregulations.
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